Kiruba Nithi
Certified Professional Coder (CPC)
Talent
Chennai, Tamil NaduMember since July 11, 2026
HCC Risk Adjustment Coding (Medicare & Commercial)ICD-10-CMMedical Terminology, Anatomy & PhysiologyCMS Coding Guidelines & ComplianceepiencoderMS Office Suitecodifyciox applicationdatavant applicationSports
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HCC Risk Adjustment Coding (Medicare & Commercial)ICD-10-CMMedical Terminology, Anatomy & PhysiologyCMS Coding Guidelines & Complianceepiencoder
About
Certified Professional Coder (CPC) with 3+ years of hands-on experience in HCC medical coding at Optum. Proficient in ICD-10-CM, and HCC medicare and commercial project coding with a strong grasp of Medicare Advantage Risk Adjustment guidelines. Adept at analyzing clinical documentation for accurate code assignment, ensuring compliance and data integrity. Committed to delivering high-quality results in fast-paced, deadline-driven environments.
Experience
Medical Coder – HCC Coding at Optum, India (2023-04 – 2025-05)
- Assigned diagnosis codes based on thorough review of medical records in compliance with CMS-HCC Risk Adjustment models
- Ensured all coded data adhered to internal quality benchmarks and federal documentation requirements
- Collaborated with auditing teams to correct inaccuracies and improve documentation standards
- Maintained 95%+ accuracy in coding and met productivity targets consistently
- Projects Handled: Medicare Risk Adjustment, Commercial Insurance Coding
Medical Coder – HCC Coding at Access healthcare, India (2025-07 – Present)
Education
Bachelor of Science in B.Sc. – SRM Medical College, Chennai
Skills
Certified Professional Coder (CPC)
